Individual
BRADY WISOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
90 HOSPITAL DR, ATHENS, OH 45701-2301
(740) 592-3091
(740) 775-7855
Mailing address
90 HOSPITAL DR, ATHENS, OH 45701-2301
(740) 592-3091
(740) 775-7855
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.291228
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN.291228
LICENSE
OH
Enumeration date
11/16/2016
Last updated
11/16/2016
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